Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ALI ADELA SAMBURSKY DNP, AGACNP-BC
NPI 1508455635
Nurse Practitioner in Houston, TX

Active since January 13, 2021PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST STE 2800, HOUSTON, TX 77030(713) 486-8000(713) 795-8115 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 4, 2026, Jul 28, 2026, Jan 30, 2026 and 7 more (10 updates tracked since 2021).

About Mrs. Ali Adela Sambursky Dnp, Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ALI ADELA SAMBURSKY DNP, AGACNP-BC (NPI 1508455635) is an individual nurse practitioner in Houston, Texas, licensed in Wisconsin (17328-33) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508455635
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. ALI ADELA SAMBURSKYCredential: DNP, AGACNP-BC
Location Address6400 FANNIN ST STE 2800Houston, TX 77030-1534
Mailing Address6400 Fannin St Ste 2070Houston, TX 77030-1541 · (713) 486-7746 · Fax (713) 500-8141
Fax(713) 795-8115
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 13, 2021
Last NPPES UpdateAugust 4, 202610 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1508455635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in WI · 17328-33 Licensed in NC · 5019397
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License GAA-NP001959 (GA)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1112785 (TX), 234371 (LA), 11009996 (FL), 2024007851 (MO)
6400 FANNIN ST STE 2800, Houston, TX 77030

Other Names 1

Former Name (1)Ms. Ali Adela Payan

Secondary Practice Locations 5

Location 11000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-1000 · Fax (678) 312-3282
Location 215790 Paul Vega DrHammond, LA 70403-1436 · Phone (985) 230-1683 · Fax (985) 230-6652
Location 36000 Hospital DrHannibal, MO 63401-6887 · Phone (573) 248-1300
Location 4200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-9437 · Fax (704) 384-9440
Location 51102 W 32nd StJoplin, MO 64804-3503 · Phone (417) 347-4570

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ali Adela Sambursky Dnp, Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941696728
PECOS Enrollment IDI20220404001199, I20240417001144, I20240520000254, I20250808001227
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Psychiatry & Neurology (Neurocritical Care)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Physician Assistant
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Neurological Surgery
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali Sambursky's NPI number?

The NPI number for Ali Sambursky is 1508455635. It was assigned to this individual provider in the NPPES registry on January 13, 2021. The provider is also known as Ms. Ali Adela Payan.

Where is Ali Sambursky located?

Ali Sambursky practices at 6400 Fannin St Ste 2800, Houston, TX 77030. The listed phone number is (713) 486-8000.

What is Ali Sambursky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ali Sambursky enrolled in Medicare?

Yes. Ali Sambursky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ali Sambursky accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC, HMO Louisiana, Medica and Oscar Insurance Company and 1 other insurer list Ali Sambursky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ali Sambursky was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.